Format

Send to

Choose Destination
Birth. 2015 Dec;42(4):319-28. doi: 10.1111/birt.12186. Epub 2015 Oct 13.

The Association Between Common Labor Drugs and Suckling When Skin-to-Skin During the First Hour After Birth.

Author information

1
Healthy Children Project, Inc., East Sandwich, MA, USA.
2
Maternal Child Health, Union Institute and University, Cincinnati, OH, USA.
3
Maternal Child Health, Graduate Program in Health and Wellness, Union Institute and University, Cincinnati, OH, USA.
4
Division of Reproductive Health, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
5
Obstetric Anesthesiology, Loma Linda University School of Medicine, Loma Linda University Children's Hospital, Loma Linda University Medical Center, Loma Linda, CA, USA.
6
Loma Linda University School of Medicine, Loma Linda University Children's Hospital, Loma Linda University Medical Center, Loma Linda, CA, USA.
7
Kern Medical Center, Bakersfield, CA, USA.
8
Loma Linda University School of Medicine, Loma Linda, CA, USA.
9
Department of Pediatrics, Loma Linda University School of Medicine, Loma Linda University Children's Hospital, Loma Linda University Medical Center, Loma Linda, CA, USA.

Abstract

BACKGROUND:

Intrapartum drugs, including fentanyl administered via epidural and synthetic oxytocin, have been previously studied in relation to neonatal outcomes, especially breastfeeding, with conflicting results. We examined the normal neonatal behavior of suckling within the first hour after a vaginal birth while in skin-to-skin contact with mother in relation to these commonly used drugs. Suckling in the first hour after birth has been shown in other studies to increase desirable breastfeeding outcomes.

METHOD:

Prospective comparative design. Sixty-three low-risk mothers self-selected to labor with intrapartum analgesia/anesthesia or not. Video recordings of infants during the first hour after birth while being held skin-to-skin with their mother were coded and analyzed to ascertain whether or not they achieved Stage 8 (suckling) of Widström's 9 Stages of newborn behavior during the first hour after birth.

RESULTS:

A strong inverse correlation was found between the amount and duration of exposure to epidural fentanyl and the amount of synthetic oxytocin against the likelihood of achieving suckling during the first hour after a vaginal birth.

CONCLUSIONS:

Results suggest that intrapartum exposure to the drugs fentanyl and synthetic oxytocin significantly decreased the likelihood of the baby suckling while skin-to-skin with its mother during the first hour after birth.

KEYWORDS:

epidural; fentanyl; skin-to-skin

PMID:
26463582
PMCID:
PMC5057303
DOI:
10.1111/birt.12186
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Wiley Icon for PubMed Central
Loading ...
Support Center